Healthcare Modeling

With the many changes brought about by the Affordable Care Act (ACA), Predictive Resources has helped several healthcare clients predict how the ACA will affect their bottom line.  We use client specific claims history in conjunction with publicly available data to predict the 3 R's for our client's membership: Risk Adjustment, Reinsurance, and Risk Corridors.  We help guide our clients to the sweet spots of their membership profile where they can be most effective educating members on preventive healthcare solutions, thus reducing costs while simultaneously increasing quality of care.